NKC BALTIMORE WEST, LLC (NPI# 1336526706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336526706 |
| Entity Type | Organization |
| Organization Name | NKC BALTIMORE WEST, LLC |
| Practice Address |
809 Pinnacle Dr Linthicum MD 21090-2535 |
| Practice Telephone | 4108649800 |
| Practice Fax Number | 9784505289 |
| Mailing Telephone | 4108649800 |
| Mailing Fax Number | 9784505289 |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-05-11 |
| Authorized Official Name | JEFFREY MURRAY (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 9786874883 |
| Is Organization Subpart | Y |
| Parent Organization Name | NXSTAGE KIDNEY CARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Street Address |
809 PINNACLE DR |
| City | LINTHICUM |
| State | MD |
| Zip Code | 21090-2535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023365988 | Brian Craig Fikes | Registered Nurse | 901 Elkridge Landing Rd Ste 100, Linthicum Heights, MD 21090 | 2012-08-10 |
| 1922354075 | Dimension Health Care | General Acute Care Hospital | 603 Fairmeade Ct, Linthicum, MD 21090 | 2012-07-26 |
| 1720302052 | Freestate Transportation, LLC | Ambulance | 832 Oregon Ave, Suites K-l, Linthicum, MD 21090 | 2010-03-15 |
| 1225170806 | George Edward La Rocco | Internal Medicine | 7323 Aviation Blvd Ms 1178, Linthicum, MD 21090 | 2007-02-12 |
| 1700810629 | Ambumed Inc. | Clinical Medical Laboratory | 803 Barkwood Court, Ste A, Linthicum Heights, MD 21090 | 2006-07-10 |
| 1679521975 | Gloria Suja Domingo | Pediatrics | 809 N Hammonds Ferry Rd Ste C, Linthicum, MD 21090 | 2006-05-05 |
| 1063481703 | Anne Arundel Dermatology, P.a. | Specialist | 1306 Concourse Dr Ste 201, Linthicum, MD 21090 | 2006-03-15 |
| 1174878441 | Rebecca Lynn Sebastian | Physical Therapist | 609 Global Way, Linthicum, MD 21090 | 2012-07-23 |
| 1538179130 | Ettaly Franke Jobes | Pediatrics | 605 Global Way, Suite 119 Arundel Pediatrics P.a., Linthicum, MD 21090 | 2006-08-08 |
| 1164771762 | Maryland Specialty Surgery Center, LLC | Clinic/Center | 509 Progress Drive, Suite 100, Linthicum, MD 21090-0000 | 2012-08-29 |
| Find all providers in zip 21090 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
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| 1740840503 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 163 Jennifer Rd Ste A, Annapolis, MD 21401-3043 | 2019-06-14 |
| 1538725965 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 3000 N Ridge Rd Ste A, Ellicott City, MD 21043-3311 | 2019-05-10 |
| 1851957286 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 3419 Plumtree Dr Ste 103, Ellicott City, MD 21042-3871 | 2019-05-10 |
| 1144783598 | Fresenius Medical Care Southern Maryland Home, LLC | Clinic/Center | 3510 Old Washington Rd Ste 300, Waldorf, MD 20602-3236 | 2019-04-12 |
| 1205399854 | Mather Dialysis LLC | Clinic/Center | 1840 York Rd Ste A, Lutherville Timonium, MD 21093-5121 | 2019-04-10 |
| 1598228249 | Concerto Maryland LLC | Clinic/Center | 1531 S Edgewood St Ste D, Halethorpe, MD 21227-1138 | 2019-04-10 |
| 1346709037 | Dialyze Direct Md, LLC | Clinic/Center | 502 Mccormick Dr, Glen Burnie, MD 21061-3216 | 2019-03-13 |
| 1306323050 | Wyota Dialysis, LLC | Clinic/Center | 11700 Livingston Rd, Fort Washington, MD 20744-5150 | 2018-07-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.